Care provider to pay $14.9M over false claims involving assisted living communities
By
Kimberly Bonvissuto
Jun 10, 2024
A chronic disease management provider will have to shell out $14.9 million over allegations related to false claims involving assisted living communities, memory care communities and group homes.
Mother-daughter duo arrested for reportedly defrauding Medicaid of $106,000 for services not provided...
By
Lois A. Bowers
Sep 26, 2022
A mother-daughter duo has been arrested in Florida for allegedly defrauding the Medicaid program of more than $106,000 by billing for psycho-social rehabilitation services they did not provide to six assisted...
Assisted living operator indicted in $800,000 Medicaid fraud case
By
Kimberly Bonvissuto
Aug 08, 2023
An assisted living operator has been indicted on multiple fraud charges for allegedly failing to document services provided and for allegedly submitting false Medicaid claims.
MFCU efforts result in 17 assisted living convictions, $265,000 in recoveries in FY 2022: OIG report
By
Lois A. Bowers
Mar 14, 2023
Efforts by state Medicaid Fraud Control Units resulted in a total of 17 criminal convictions and $265,040 in criminal case recoveries related to assisted living in fiscal year 2022, according to a new...
Assisted living operator faces multiple felony charges over alleged diversion of millions in Medicaid,...
By
Kimberly Bonvissuto
Feb 03, 2023
An assisted living community and nursing home operator was indicted by a Wisconsin grand jury Wednesday on multiple fraud charges in a scheme connected to diverting millions in Medicare and Medicaid funds...
MFCU efforts result in 20 convictions, $9.41 million in recoveries related to assisted living in FY 2023:...
By
Lois A. Bowers
Mar 18, 2024
Efforts by state Medicaid Fraud Control Units resulted in a total of 20 criminal convictions and $9.41 million in criminal case recoveries related to assisted living in fiscal year 2023, according to a...
Unlicensed assisted living home operators swept up in nursing home ‘dumping’ case
By
Kimberly Bonvissuto
Aug 23, 2022
The operator of two unlicensed assisted living facilities was sentenced last week for felony theft following an investigation into nursing homes reportedly unlawfully discharging residents to unlicensed...
Company to pay $300,500 for billing Medicare for unnecessary COVID tests for senior living residents
By
Lois A. Bowers
Jun 21, 2023
A Maryland-based company that handles billing for diagnostic laboratories and other healthcare providers has agreed to pay $300,479.58 to resolve False Claims Act allegations that it submitted false claims...
Updated: Philip Esformes reaches plea deal with federal prosecutors on remaining charges in landmark...
By
Lois A. Bowers
Feb 02, 2024
Philip Esformes, the assisted living community and nursing home owner charged in 2016 in a $1.3 billion healthcare fraud case that the federal government at the time called “the largest healthcare fraud...
Philip Esformes pleads guilty to healthcare fraud, sentenced to time served
By
Kimberly Bonvissuto
Feb 22, 2024
Former assisted living community and nursing home owner Philip Esformes pleaded guilty to healthcare fraud on Thursday and received a sentence of time served, ending a case the federal government at one...